London's Pulse: Medical Officer of Health reports 1848-1972

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  • Text on page 25

    absences owing to illness among the staff, and this, coupled with Dr. Casimir's resignation, led to a loss of 21 psychiatric sessions." The following tables show the work of the clinic during the year. Figures for Walthamstow cases only are shown:—

    Table on page 25
    TABLE I Analysis of Figures for 1957
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    Employees Retired on grounds of Permanent Ill-Health Arthritis 2 Bronchitis 1 Heart Disease 3 Hypertension 3 Psychiatric 8 Slipped Disc 1 Various 6 Total 24 Candidates who Failed Medical Examinations for Employment with the Council Arthritis

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    67 Stool examinations 9 Staff Medical Examinations-1970 Retired on grounds of permanent ill-health (47) Psychiatric Grounds 8 Hypertension 5 Heart Disease 1 Other Diseases Of Circulatory System 12 Bronchitis & Emphysema 6 Epilepsy 1 Cancer

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    Continued from previous page...
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    Children under school age (accompanied) 10 (21) TOTAL FOR THE YEAR: 416 (327) * There were no tuberculous or psychiatric patients admitted for recuperative holidays in 1970. LOAN OF HOME NURSING EQUIPMENT - 1970 Figures for 1969 are in brackets:

  • Text on page 105

    Holidays Recuperative holidays are provided for expectant and nursing mothers and children under five, psychiatric patients and other adults recovering from illness where a short holiday involving rest, fresh air and good food only is

    Text on page 99

    (6) (7) (8) (9) (10) (11) (a) Remained in home (or transferred to another mental nursing home or hospital) for psychiatric treatment, and detained under the Act – – – – – – – – – – (b) As for (a) above but not detained under the Act – – – – – – – – – – (c) Remained

    Text on page 85

    schools when the Windmill School is completed. Hospital Links Cane Hill Hospital, Coulsdon, which provides psychiatric hospital services for East Lambeth, has been in the process of reorganising its Social Work Department on the lines of a

    Table on page 99
    PUBLIC HEALTH ACT 1936 (section 187 to 194) MENTAL HEALTH ACT 1959 (section 15(1) Number of cases who completed a period of observation under Sections 25 or 29 of the Act
    Number of admissions during 1969
    Action taken at end of period of detentionMentally IllPsychopathicSubnormalSeverely SubnormalTotal
    MFMFMFMFMF
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)
  • Text on page 24

    Medical, Surgical, Fracture, Paediatric, Gynaecology, Bar, Nose and Throat, Maternity, Orthopaedic, Psychiatric, Adolescent, Orthodontic, Rheumatology, Diabetic, Dermatology, Ophthalmology, Pathology, Chest Diseases, Oral Surgery,

    Text on page 36

    36 Psychiatric Care in the Community Two district nurses who are also psychiatric qualified were appointed to visit and nurse patients who need specialised psychiatric care. This involved giving support

  • Text on page 81

    Unit. Of the 250 who were seen by the Psychiatric Social Worker and the Educational Psychologist, 83 proceeded for full psychiatric investigation which is an increase of diagnostic psychiatric interviews compared with last year. During

    Text on page 97

    placement. Psychiatric Rehabilitation Association I am indebted to Mr. John Wilder of the Psychiatric Rehabilitation Association, for the following report:- "1969 saw steady consolidation of community care for the mentally ill. The Mental

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    Clinics 73 Outworkers 46 Performing Animals 28 Pet Shops and Animal Boarding Establishments 28 Psychiatric Rehabilitation Association 97 Psychiatric Social Clubs 99 Publications 70

  • Text on page 45

    patients recently discharged from hospital has been provided by the Cheshire Foundation and the Psychiatric Rehabilitation Association at Nicholas House, Old Nichol Street. On the same premises an Industrial Education Unit was opened in 1967

    Text on page 39

    still think that there must be a psychiatric problem when someone does not conform. It is not appreciated how different is working in and with the community, from treating people in hospitals whether general or psychiatric. Tower Hamlets is

    Text on page 44

    Tower Hamlets, Four years ago the Regional Hospital Board accepted a plan for the provision of a comprehensive psychiatric service in East London based on St. Clement's Hospital. This could only be achieved by close co-operation with the Mental

    Text on page 46

    the eastern half of Tower Hamlets, i.e. the postal districts E.3, and E.14; and on 1st November 1967 for the remainder For the first time a small psychiatric hospital or unit has been given full statutory obligation and provided a comprehensive

  • Text on page 88

    Psychiatric social workers—The psychiatric social workers dealt with 361 cases during 1959, compared with 594 in 1958. This reduction was due to a shortage of psychiatric social workers. It was not until November that the full complement of

    Text on page 158

    Daley. In 1948 Dr. Peter Scott was appointed as psychiatrist to the remand home, and the psychiatric team was completed by the appointment of a psychiatric social worker.* (ii) In Circular 38/51, of 10th September, 1951 the Ministry of Health

    Text on page 150

    fact some children were not attending clinics and, in contrast to children attending the Council's own child guidance units, there was little or no home visiting from non-Council clinics. It was therefore decided in 1955 to attach a part-time

    Text on page 159

    girls, similar to that at Stamford House for boys. (h) Psychiatric services at approved schools—During the past ten years there has been the gradual development of psychiatric services at the approved schools maintained by the Council. At the

    Text on page 160

    originally contemplated. Since it was considered that a psychiatrist's visits to an approved school were for the purposes of treatment or diagnosis with a view to treatment, arrangements were made for the specialist work to be taken over by the National

    Text on page 161

    question of mental health education and psychiatric 're-orientation' of staff of all grades, which has been discussed above, there remains the problem of the national shortage of trained psychiatric staff. The Council has always been ready

    Text on page 137

    called the London Child Guidance Training Centre.) One of the assistant organisers who had taken the course of training in America was appointed chief psychiatric social worker. A course in mental welfare was arranged at the London School

  • Text on page 71

    residents of this Borough. Relationships are particularly constructive with the Marlborough Day Hospital, St. John's Wood, and the psychiatric unit of the Middlesex Hospital, St. Luke's-Woodside, Muswell Hill. The envisaged run down of the population

  • Text on page 65

    mental health social workers transport patients in their cars to and from the psychiatric hospitals. The psychiatric social workers are largely concerned with the after-care and rehabilitation of persons discharged after undergoing

  • Text on page 50

    Health Act, 1959. Both the mental welfare officers and the mental health social workers transport patients in their cars to and from the psychiatric hospitals, in case of emergency. The psychiatric social workers are largely concerned with

  • Text on page 84

    whole-time and the Psychiatric Social Worker undertakes 6 sessions weekly. Mrs. I. M. Seglow, Psychiatric Social Worker, terminated her appointment for domestic reasons on 14th April, 1950. Mrs. Henschel was appointed, in the capacity of Acting

  • Text on page 18

    Psychologists are available to the schools for difficulties in learning, which often have psychological background and their work is increasing. Psychiatric clinics associated with the Mental Health Section continue to do good business, and a great

    Text on page 19

    Hostel reduces the strain on the community services and reduces the necessity for re-admission to psychiatric hospital. (3) Psychiatric Rehabilitation Unit This day centre opened 8th October 1967 with the generous co-operation of the Church

  • Text on page 73

    development of this part of the service was possible during the year, but the pre-care and after-care of those patients attending the Psychiatric Out-patient Clinic held twice weekly at St.Mary's Hospital by the Consultant staff of Goodmayes Mental

    Text on page 109

    D.P.M. 1 session weekly Educational Psychologist Mrs.Nathan, Dip.Psych., A.B.Ps.S. 6 sessions weekly Psychiatric Social Worker Miss Mayne (Full-time from 1st March, 1954) Secretary Mrs. Peters (Full-time) Psychiatrist's interviews

  • Text on page 111

    of psychiatric work accounted for. By the end of the year also, Miss Sykes, an experienced Psychiatric Social Worker, in sympathy with the developmental trends of the clinic towards co-ordinated family case work and towards emphasis of preventive

    Text on page 110

    Secretary: Mrs.Peters (full time) The most significant influences affecting the work of the Child Guidance Clinic during the year ending 31st December 1957. were the disruption and loss of psychiatrist time involved in the changes in the psychiatric

    Text on page 78

    Again, as in the year 1956, preventive mental health work played a dominant role in the caseload of the Psychiatric Social Worker. In contrast to 1956, where most of the referrals were made by the M. & C.W. Section, School Health Services took the

    Text on page 80

    PSYCHIATRIC SOCIAL WORKER Statistics For the period January 1st to 31st December 1957 Referrals Pre-care and After-care 141 Sources

  • Text on page 127

    attendance at these is approximately 18) and to a club run by the psychiatric department of one of the London teaching hospitals, which has a weekly attendance of 40 and above. Another psychiatric hospital holds its club in one of the Council's health

    Table on page 131
    T able (i) — Sources of referral of all cases
    Mentally illSubnormal and severely subnormalTotal
    With a view to hospital admissionCommunity care
    No.%No.%No.%No.%
    Text on page 131

    subnormal Total With a view to hospital admission Community care No. % No. % No. % No. % Psychiatric hospital or ward 467 81 398 283 104 9.5 969 11.7 Psychiatric out-patient clinic or day hospital 147 2.6 67 4.8 7 0.6 221 2.7 Psychiatrist at general ward,

    Text on page 135

    hospital staffs has been hampered to some extent by the location of the psychiatric hospitals, most of which are a long way from their London catchment areas. The future provision of psychiatric beds in general hospitals would not only be of benefit

  • Table on page 79
    Part II
    Number of cases who completed a period of observation under sections 25 or 29 of the Act
    Action taken at end of period of detentionMentally IllPsychopathicSubnormalSeverely subnormalTotal
    MFMFMFMFMF
    (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)
    Text on page 59

    Thomas' Hospital regarding the development of a comprehensive psychiatric service for the Borough based on the South Western Hospital, Landor Road. The scheme will include a psychiatric in-patient unit and a psycho-geriatric assessment

  • Table on page 75
    Analysis of cases referred for psychiatric examination in the 6 month period—1st May-3lst October
    Sex and age8 years9-1011-131415 and overTotal
    Text on page 74

    case is now extensive and forms an adequate picture of the background and present status of the individual. The work of the psychiatric social worker is largely intra-mural so that she supplements and does not replace the usual probation officers'

    Text on page 75

    requested is shown by the following percentages taken from the annual statistics of the Remand Home 1936 11.6 1944 35.3 1937 20.9 1945 33.4 1938 26.5 1946 47.9 1941 19.9 1947 43.0 1942 31.6 1948 56.7 1943 35.3 The completion of the psychiatric

  • Table on page 94
    Psychiatric service in remand homes Dr. P. D. Scott, M.A., M.D., D.P.M., reports as follows:— Work done (compared with previous year)
    19481949
  • Table on page 61
    During 1963 hospital admissions were as follows and the corresponding figures for 1962 are shown for comparison purposes:-
    19631962
  • Table on page 46
    Admissions of mentally subnormal patients to hospital for the year with comparative figures for 1963 are shown below:-
    19641963
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    re-adjustment of the staff establishment. Miss H. Stringer was appointed Psychiatric Social Worker, and Miss S. Mumford, Clinical Psychologist. To facilitate co-ordination with the adult psychiatric service it was resolved at the time of their appointment

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